'Google should replace NHS IT system'

[RichardCranium]

tbh I don't really understand why the NHS project is that difficult, anyone care to enlighten me?

The very short answer has a number of parts. Each one of these is a programme killer.

1. It is politically motivated; therefore measuring benefits is futile so decision making is poor.

2. It is a programme intended to save money; therefore senior management do not know where to authorise expenditure.

3. It is too big; they are trying to joining together systems owned by bodies that exist at different positions in the hierarchy so the sheer number of stakeholders and their relative levels of authority prevents correct decision making.

4. The NHS believes it is 'a special case' and that good practice used by the rest of the project and programme management industry does not apply.

The very, very short answer is: it is too big.

I can do you 20,000 words on why it has been a failure since 2003 if you wish.

[ThomasSoerensen]

please write 20000 words on this.

and no copy - paste, ok.

[d000hg]

When you say "Google should replace NHS", do you mean getting rid of all the GPs and getting teenagers to google "my balls are all red and itchy" instead?

[Shimano105]

Google and MS have a system ready? Please.

Sounds like a consultant answer to me - 'we have a system up and ready to roll if you sign up with us'.

Then they piss off and try to get Bob and his buddies to frantically knock enough together to meet the first milestone.